ERICA MARIE PENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127868

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

MARIE

Last Name

PENA

Business Name

ERICA MARIE PENA

Original Issue Date

10/13/1999

Effective Date

10/13/1999

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005